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结肠胶囊内镜检查:我们所处的位置与前进方向

Colon Capsule Endoscopy: Where Are We and Where Are We Going.

作者信息

Han Yoo Min, Im Jong Pil

机构信息

Department of Internal Medicine and Liver Research Institute, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.

Department of Internal Medicine and Healthcare Research Institute, Seoul National University Hospital Healthcare System Gangnam Center, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Clin Endosc. 2016 Sep;49(5):449-453. doi: 10.5946/ce.2016.095. Epub 2016 Sep 22.

DOI:10.5946/ce.2016.095
PMID:27653441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5066410/
Abstract

Colon capsule endoscopy (CCE) is a noninvasive technique for diagnostic imaging of the colon. It does not require air inflation or sedation and allows minimally invasive and painless colonic evaluation. The role of CCE is rapidly evolving; for example, for colorectal screening (colorectal cancer [CRC]) in average-risk patients, in patients with an incomplete colonoscopy, in patients refusing a conventional colonoscopy, and in patients with contraindications for conventional colonoscopy. In this paper, we comprehensively review the technical characteristics and procedure of CCE and compare CCE with conventional methods such as conventional colonoscopy or computed tomographic colonography. Future expansion of CCE in the area of CRC screening for the surveillance of polyps and adenomatous lesions and for assessment of inflammatory bowel disease is also discussed.

摘要

结肠胶囊内镜检查(CCE)是一种用于结肠诊断成像的非侵入性技术。它不需要充气或镇静,可实现微创且无痛的结肠评估。CCE的作用正在迅速演变;例如,用于平均风险患者的结直肠癌(CRC)筛查、结肠镜检查不完全的患者、拒绝传统结肠镜检查的患者以及有传统结肠镜检查禁忌症的患者。在本文中,我们全面回顾了CCE的技术特点和操作流程,并将CCE与传统方法(如传统结肠镜检查或计算机断层结肠成像)进行比较。还讨论了CCE在CRC筛查领域未来在息肉和腺瘤性病变监测以及炎症性肠病评估方面的扩展。